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. 2021 Oct 15;26(2):463–479. doi: 10.1002/ejp.1872
Section 1: Demographic data (9 items)
Item 1 Age
Item 2 Gender
Item 3 Marital status
Item 4 Number of people sharing household
Item 5 Has any household member been diagnosed with COVID‐19?
Item 6 Education level
Item 7 Region in Spain
Item 8 Diagnosed chronic co‐morbidities
Item 9 Informed consent
Section 2: Pain‐related outcomes (30 items) a
Item 10 Pain location(s)
Item 11 Higher pain intensity in a numerical rating scale (0–10)
Item 12 Pain duration (in months)
Item 13 Pain frequency
Item 14 Pain evolution during lockdown
Items 15–20 Pain interference (6 items, 0–10, out of a total of 60)
Item 21 Changes in pharmacological treatment for pain during lockdown
Item 22 Changes in non‐pharmacological treatment for pain during the lockdown
Item 23 Would you have visited your chiropractor during lockdown if available?
Item 24 Date of initiation of chiropractic care
Items 25–28 Pain catastrophizing scale, short version (4 items, 0–4, out of a total of 16)
Items 29–39 Tampa Scale of Kinesiophobia, short version (11 items, 1–4, out of a total of 44)
Section 3: Psychosocial impact of COVID‐19 (31 items) a
Item 40 COVID‐19 diagnosis
Item 41 COVID‐19 symptoms
Item 42 Contact with COVID‐19 cases
Item 43 Visits to healthcare professionals (for COVID‐19 or pain) in the previous 2 weeks
Item 44 If affirmative, detail which professional(s)
Item 45 Current employment status
Item 46 Changes in employment status during the lockdown
Item 47 Restrictions which had more direct impact
Items 48–56 Degree to which emotions are experienced with regards to the pandemic (9 items, 0–10): Sadness, Worry, Loneliness, Anger, Helplessness, Anxiety, Surprise, Relief, Hope
Items 57–63 Degree to which the pandemic or related situations evoke stress (7 items, 0–10): pandemic‐related stress, restrictions‐related stress, own's health stress, fear of economic difficulties, fear of food shortage, fear of resources shortage, loved ones’ health stress
Items 64–70 General Anxiety Disorder scale (7 items, 0–3, out of a total of 21)
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A total of three instructional manipulation checks were introduced in the form of three screening questions.